PATRICIA TAN CHAO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

TAN

Last Name

CHAO

Suffix

DDS

Business Name

PATRICIA TAN CHAO DDS

Original Issue Date

08/23/2013

Effective Date

08/23/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016